Common use of ASSIGNMENT FORM Clause in Contracts

ASSIGNMENT FORM. If you, as Holder of this Security, want to assign this Security, fill in the form below: I or we assign and transfer this Security to: and irrevocably appoint: as agent to transfer this Security on the books of the Company. The agent may substitute another to act for him/her. Date: Your signature: (Your signature must correspond with the name as it appears upon the face of this Security in every particular without alteration or enlargement or any change whatsoever and be guaranteed by a guarantor institution participating in the Securities Transfer Agents Medallion Program or in such other guarantee program acceptable to the Trustee) Signature Guarantee:

ASSIGNMENT FORM. If you, as Holder of this Security, want to assign this Security, fill in the form below: I or we assign and transfer this Security to: and irrevocably appoint: as agent to transfer this Security on the books of the Company. The agent may substitute another to act for him/her. Date: Your signature: (Your signature must correspond with the name as it appears upon the face of this Security in every particular without alteration or enlargement or any change whatsoever and be guaranteed by a guarantor institution participating in the Securities Transfer Agents Medallion Program or in such other guarantee program acceptable to the Trustee) Signature Guarantee:: _____________________

ASSIGNMENT FORM. If you, as Holder of this Security, want to assign this Security, fill in the form below: I or we assign and transfer this Security to: and irrevocably appoint: as agent to transfer this Security on the books of the Company. The agent may substitute another to act for him/her. Date: _____________________ Your signature: (Your signature must correspond with the name as it appears upon the face of this Security in every particular without alteration or enlargement or any change whatsoever and be guaranteed by a guarantor institution participating in the Securities Transfer Agents Medallion Program or in such other guarantee program acceptable to the Trustee) Signature Guarantee:: _____________________

ASSIGNMENT FORM. If you, as Holder of this Security, want to assign this Security, fill in the form below: I or we assign and transfer this Security to: and irrevocably appoint: as agent to transfer this Security on the books of the Company. The agent may substitute another to act for him/her. Date: Your signature: (Your signature must correspond with the name as it appears upon the face of this Security in every particular without alteration or enlargement or any change whatsoever and be guaranteed by a guarantor institution participating in the Securities Transfer Agents Medallion Program or in such other guarantee program acceptable to the Trustee) Signature Guarantee:

ASSIGNMENT FORM. If you, as Holder of this Security, want to assign this Security, fill in the form below: I or we assign and transfer this Security to: and irrevocably appoint: as agent to transfer this Security on the books of the Company. The agent may substitute another to act for him/her. Date: _____________________ Your signature: _____________________ (Your signature must correspond with the name as it appears upon the face of this Security in every particular without alteration or enlargement or any change whatsoever and be guaranteed by a guarantor institution participating in the Securities Transfer Agents Medallion Program or in such other guarantee program acceptable to the Trustee) Signature Guarantee:: _____________________